Ujjwala 14 Point Declaration Form Hindi Pdf Download Work [ 100% Legit ]

The PDF will open in your browser. Click the download icon (⬇️) to save it to your device.

Direct Download Option (for your readers):
You may embed a secure Google Drive or official govt. link here. Since I cannot provide unverified links, please use only the official pmuy.gov.in domain.

A: Yes, the same form is available in English and 13 other languages on pmuy.gov.in.

The Ujjwala 14 Point Declaration Form in Hindi PDF is a simple but legally binding document. You can download it easily from the official PMUY website. Always double-check that you are downloading from a .gov.in domain to avoid fake or malicious files.

If you face any difficulty, visit your nearest Common Service Centre (CSC) or your LPG distributor – they will provide a printed copy and help you fill it.

Disclaimer: This article is for informational purposes only. Always refer to the official Pradhan Mantri Ujjwala Yojana website or your LPG provider for the most current forms and rules.

The Ujjwala 14 Point Declaration Form is a mandatory document used to identify eligible "Poor Households" for the Pradhan Mantri Ujjwala Yojana (PMUY) 2.0. This form, often referred to as the Supplementary KYC or Deprivation Declaration, requires applicants to confirm that they do not meet any of the 14 exclusion criteria that would disqualify them from receiving a subsidized LPG connection. Download Links (Hindi & English)

Official forms can be downloaded directly from the Pradhan Mantri Ujjwala Yojana website or other government portals:

Official Hindi KYC & Declaration Form: Download from PMUY.gov.in

Supplementary 14-Point Declaration (English/Hindi Reference): Download Supplementary KYC General Forms Page: PM Ujjwala Yojana Download Center The 14 Exclusion Points

To be eligible, the applicant’s household must NOT possess or meet any of the following:

Motorized Vehicles: Ownership of a 2, 3, or 4-wheeler or a fishing boat.

Professional Tax: Any family member paying professional tax.

Mechanized Agricultural Equipment: Ownership of 3 or 4-wheeler mechanized farming gear.

Housing Quality: A house with 3 or more rooms with pucca (permanent) walls and roof. Kisan Credit Card: A credit limit exceeding ₹50,000. Refrigerator: Ownership of a refrigerator.

Government Employment: Any household member being a government employee. Landline Phone: Ownership of a landline telephone.

Registered Enterprises: Non-agricultural enterprises registered with the government.

Irrigated Land (Small): More than 2.5 acres of irrigated land with at least one piece of irrigation equipment.

Monthly Income: Any member earning more than ₹10,000 per month.

Irrigated Land (Medium): 5 acres or more of irrigated land for two or more crop seasons. Income Tax: Any family member paying income tax.

Large Landholding: Ownership of 7.5 acres or more of land with at least one piece of irrigation equipment. Required Documents for Application

Along with the signed 14-point declaration, you must typically submit: Aadhaar Card of the applicant and adult family members.

Ration Card (or a state-issued document certifying family composition).

Bank Account Details (Passbook copy or cancelled cheque) for subsidy transfers. Proof of Address (if different from the Aadhaar address). How to Fill the Form Supplementary KYC.pdf - PMUY

Ujjwala 14 Point Declaration Form Hindi PDF: पूर्ण विवरण और डाउनलोड गाइड

प्रधानमंत्री उज्ज्वला योजना (PMUY) के तहत मुफ्त गैस कनेक्शन प्राप्त करने के लिए "14 पॉइंट डिक्लेरेशन फॉर्म" एक अनिवार्य दस्तावेज है। यह फॉर्म मुख्य रूप से उन गरीब परिवारों के लिए है जो निर्धारित श्रेणियों (जैसे SC/ST या अंत्योदय) में नहीं आते, लेकिन आर्थिक रूप से पिछड़े हैं।

14 पॉइंट डिक्लेरेशन फॉर्म क्या है?

यह एक "अभाव घोषणा पत्र" (Deprivation Declaration) है जिसमें आवेदक यह प्रमाणित करता है कि वह और उसका परिवार सरकार द्वारा निर्धारित 14 अपवर्जन मानदंडों (Exclusion Criteria) में से किसी के अंतर्गत नहीं आता है। इसे जमा करने का उद्देश्य यह सुनिश्चित करना है कि योजना का लाभ केवल वास्तविक जरूरतमंदों को ही मिले। Ujjwala 14 Point Declaration Form PDF Download (Hindi) Ujjwala 14 Point Declaration Form Hindi Pdf Download WORK

आप नीचे दिए गए आधिकारिक लिंक से हिंदी में फॉर्म डाउनलोड कर सकते हैं:

आधिकारिक PDF लिंक: Deprivation Declaration for Poor Households (Hindi)

वैकल्पिक स्रोत (Scribd): Ujjwala 14-Point Declaration Form

KYC फॉर्म (हिंदी): Ujjwala KYC Form Hindi 14 प्रमुख बिंदु (Exclusion Criteria)

फॉर्म में दी गई घोषणा के अनुसार, यदि आपके परिवार के पास इनमें से कुछ भी है, तो आप पात्र नहीं हो सकते:

मोटर चालित 2/3/4 पहिया वाहन या मछली पकड़ने वाली नाव।

तीन या अधिक पक्के कमरों वाला घर। रेफ्रिजरेटर। लैंडलाइन फोन।

सरकारी कर्मचारी परिवार का सदस्य।

₹10,000 प्रति माह से अधिक आय वाला कोई सदस्य। आयकर (Income Tax) भुगतान।

व्यावसायिक कर (Professional Tax) भुगतान।

50,000 रुपये से अधिक की क्रेडिट सीमा वाला किसान क्रेडिट कार्ड।

गैर-कृषि उद्यम जो सरकार के पास पंजीकृत हों।

2.5 एकड़ से अधिक सिंचित भूमि और 1 सिंचाई उपकरण।

दो या अधिक फसल सीजन के लिए 5 एकड़ या उससे अधिक सिंचित भूमि।

कम से कम एक सिंचाई उपकरण के साथ 7.5 एकड़ या उससे अधिक भूमि।

यंत्रीकृत 3/4 पहिया कृषि उपकरण। फॉर्म कैसे भरें? (Step-by-Step) Supplementary KYC.pdf - PMUY

The Ujjwala 14 Point Declaration Form (also known as the Supplementary KYC Document & Undertaking) is a mandatory self-declaration used to verify that an applicant does not meet any of the 14 exclusion criteria for the Pradhan Mantri Ujjwala Yojana (PMUY). Hindi Form Download Links

You can download the official forms directly from the PMUY official website or the following direct links:

Ujjwala 2.0 KYC Form (Hindi): This is the primary application form which includes the 14-point declaration and bank details.

Supplementary KYC (English): The official 14-point declaration template provided by the Ministry.

PMUY Deprivation Declaration (Hindi/English Translation): A translated version of the exclusion criteria available on Scribd. Supplementary KYC.pdf - PMUY

Ujjwala 14 Point Declaration Form (also known as the Supplementary KYC or Deprivation Declaration) is a mandatory document for applying for a free gas connection under the Pradhan Mantri Ujjwala Yojana (PMUY)

. This form requires applicants to declare that they do not meet any of the 14 exclusion criteria that would disqualify them from the scheme. Download Links (Hindi & English)

You can download the official Hindi and English versions of the PMUY forms from the official PM Ujjwala Yojana Download Page Ujjwala KYC Form (Hindi): Download Official Hindi PDF

Supplementary KYC / 14 Point Declaration (English/Vernacular): Official Supplementary KYC PDF Ujjwala Yojana Application (Hindi): Download Application PDF The 14 Points of Exclusion

By signing this form, the applicant declares that no member of their household meets specific socioeconomic criteria related to vehicle ownership, income, landholdings, or amenities. Generally, these criteria include owning a motorized vehicle, paying income or professional tax, holding a Kisan Credit Card (KCC) above ₹50,000, possessing a refrigerator, or having a household member in government service. How to Submit the Form Download and Print

: Obtain the PDF from the links provided or your nearest LPG distributor. Fill Details The PDF will open in your browser

: Complete the form with applicant's name, Aadhaar, and address details. Sign and Date : The applicant must sign or place a thumb impression. Verification

The Ujjwala 14 Point Declaration Form (also known as the Supplementary KYC or Deprivation Declaration) is a mandatory document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY) who are applying under the "Poor Household" category. This form serves as a self-declaration that the applicant's household does not meet any of the 14 exclusion criteria that would disqualify them from the scheme. Download Links

You can download the official Hindi and English versions of the PMUY forms directly from the Official PMUY Documents Page or use the specific links below: Official Hindi KYC Form: Ujjwala-KYC_hindi.pdf

Supplementary 14-Point Declaration (English/Vernacular): Supplementary KYC.pdf General Download Portal: PM Ujjwala Yojana Forms The 14 Points of Exclusion

By signing this form, applicants declare they do not possess specific assets or fall under certain income/employment categories, such as owning motorized vehicles, agricultural equipment, or holding land/houses above specific limits. The full list of criteria regarding income, tax payment, and asset ownership can be reviewed in the official Supplementary KYC document. How to Fill the Form

Personal Details: Enter applicant name, Aadhaar, and father's/husband's name.

LPG Distributor: Identify the local agency (Indane, Bharat Gas, or HP Gas).

Declaration: Confirm that none of the 14 exclusion criteria apply to your household.

Verification: Distributors will verify original documents (Aadhaar, Ration Card, Bank Passbook).

Submission: Sign or provide a thumb impression and submit to the distributor.

AI responses may include mistakes. Information may vary depending on location or individual circumstances. Learn more Supplementary KYC.pdf - PMUY

The Ujjwala 14-Point Declaration Form is a critical document for low-income households applying for a free gas connection under Pradhan Mantri Ujjwala Yojana (PMUY) 2.0. It serves as a self-certified "deprivation checklist," confirming that your household does not meet specific exclusion criteria that would disqualify you from the scheme. Purpose and Significance

Under Ujjwala 2.0, this form acts as the primary criteria to identify a poor household. It is especially vital for migrant workers who may not have a permanent ration card or address proof; for them, a self-declaration using this form is sufficient to apply for a connection. The 14 Exclusion Points

To be eligible, your household must not possess certain assets or meet specific income thresholds. Key exclusions include owning a 2/3/4 wheeler vehicle, having a government employee in the family, or possessing a refrigerator, landline, or specific agricultural equipment. Furthermore, households with members earning over ₹10,000/month, paying income tax, or owning substantial land (varying from 2.5 to 7.5 acres depending on irrigation) are ineligible. How to Download and Fill the Form Supplementary KYC.pdf - PMUY

The Ujjwala 14-Point Declaration Form (often referred to as the Supplementary KYC or Deprivation Declaration) is a critical document for applicants of the Pradhan Mantri Ujjwala Yojana (PMUY). It is used by households that are not listed in the SECC-2011 data but identify as "poor" and wish to avail themselves of a free LPG connection. Ujjwala 14 Point Declaration Form Hindi PDF Download

You can download the official Hindi forms directly from the PMUY official website: KYC Form (Hindi): Download Hindi KYC

Supplementary KYC (14 Point Declaration - English Reference): Download Supplementary KYC

Deprivation Declaration (Hindi): Available on the PMUY Home Page under the "Forms" section. What is the 14-Point Declaration?

This form requires applicants to certify that they do not meet any of the 14 defined exclusion criteria, which include owning motorized vehicles, having a government employee in the family, or possessing specific agricultural equipment or land. Meeting any of these conditions disqualifies the household from the Ujjwala scheme. How to Fill the Form (Step-by-Step)

Personal Details: Enter the adult female applicant's name, age, and address.

Verification: Carefully read the 14 points, ensuring you fall under none of the exclusion criteria. Signatures: Apply your signature or thumb impression (LTI).

Distributor Approval: Submit the completed form to an authorized LPG distributor. Required Documents to Attach Aadhaar Card: For proof of identity/address. Ration Card: For household composition. Bank Details: Passbook for subsidy. Migrant Applicants: Use Annexure-I for address changes. Supplementary KYC.pdf - PMUY

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म हिंदी पीडीएफ डाउनलोड वर्क

उज्ज्वला योजना भारत सरकार द्वारा शुरू की गई एक महत्वपूर्ण योजना है, जिसका उद्देश्य गरीब परिवारों को मुफ्त एलपीजी कनेक्शन प्रदान करना है। इस योजना के तहत, पात्र परिवारों को एलपीजी कनेक्शन दिया जाता है, जिससे उन्हें खाना पकाने के लिए लकड़ी और अन्य जैव ईंधन पर निर्भर न रहना पड़े।

उज्ज्वला योजना के लिए आवेदन करने वाले उम्मीदवारों को एक डिक्लरेशन फॉर्म भरना होता है, जिसे उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म कहा जाता है। इस फॉर्म में उम्मीदवारों को अपनी व्यक्तिगत जानकारी, परिवार की जानकारी, और अन्य आवश्यक जानकारी प्रदान करनी होती है।

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म क्या है?

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म एक महत्वपूर्ण दस्तावेज है, जिसे उज्ज्वला योजना के लिए आवेदन करने वाले उम्मीदवारों को भरना होता है। इस फॉर्म में उम्मीदवारों को निम्नलिखित जानकारी प्रदान करनी होती है: A: Yes, the same form is available in

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म हिंदी पीडीएफ डाउनलोड

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म हिंदी में उपलब्ध है, और उम्मीदवार इसे पीडीएफ फॉर्मेट में डाउनलोड कर सकते हैं। उज्ज्वला योजना की आधिकारिक वेबसाइट पर इस फॉर्म को डाउनलोड करने का विकल्प उपलब्ध है।

उम्मीदवार निम्नलिखित चरणों का पालन करके उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म हिंदी पीडीएफ डाउनलोड कर सकते हैं:

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म भरने के लिए आवश्यक दस्तावेज

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म भरने के लिए उम्मीदवारों को निम्नलिखित दस्तावेजों की आवश्यकता होती है:

उज्ज्वला योजना के लाभ

उज्ज्वला योजना के कई लाभ हैं, जिनमें से कुछ इस प्रकार हैं:

निष्कर्ष

उज्ज्वला 14 प्वाइंट डिक्लरेशन फॉर्म एक महत्वपूर्ण दस्तावेज है, जिसे उज्ज्वला योजना के लिए आवेदन करने वाले उम्मीदवारों को भरना होता है। इस फॉर्म में उम्मीदवारों को अपनी व्यक्तिगत जानकारी, परिवार की जानकारी, और अन्य आवश्यक जानकारी प्रदान करनी होती है। उम्मीदवार उज्ज्वला योजना की आधिकारिक वेबसाइट से इस फॉर्म को हिंदी पीडीएफ फॉर्मेट में डाउनलोड कर सकते हैं। उज्ज्वला योजना के तहत, पात्र परिवारों को मुफ्त एलपीजी कनेक्शन दिया जाता है, जिससे उन्हें स्वच्छ ईंधन मिलता है और उनके स्वास्थ्य में सुधार होता है।

The Ujjwala 14-Point Declaration Form (often called the Supplementary KYC or Deprivation Declaration) is a mandatory document for Pradhan Mantri Ujjwala Yojana (PMUY) applicants. It serves as a self-certified statement that the applicant's household does not meet any of the exclusion criteria that would disqualify them from the scheme. Download Links (Official PDF)

You can download the official forms directly from the PMUY Documents Portal:

Deprivation Declaration (Hindi): Download Official Hindi PDF Standard KYC Form (Hindi): Download Official Hindi KYC

Supplementary KYC (English/Reference): Download Supplementary KYC How to Fill the Form (Step-by-Step)

Personal Details: Enter the applicant's name (adult female only), Aadhaar number, and father's or husband's name.

Exclusion Declaration: You are declaring that no member of your household: Owns a motorized 2/3/4 wheeler or fishing boat. Owns mechanized agricultural equipment (3/4 wheeler). Has a Kisan Credit Card with a limit over ₹50,000. Is a government employee or pays income/professional tax. Owns a refrigerator or a landline phone.

Lives in a house with 3 or more rooms with pucca walls/roof. Earns more than ₹10,000 per month.

Address & Distributor: Provide your full residential address and the name of your local LPG distributor (Indane, Bharat Gas, or HP Gas).

Verification: Sign or provide a thumb impression at the bottom. The distributor will later verify this against your original documents. Required Documents to Attach When submitting this declaration, you must also provide: Supplementary KYC.pdf - PMUY

Ujjwala Yojana 14-Point Declaration Form: Download & Details To get a new gas connection under Pradhan Mantri Ujjwala Yojana (PMUY) , you must submit a 14-point declaration form

to confirm you meet the eligibility criteria. This form is a mandatory part of the Supplementary KYC process for all applicants. What is the 14-Point Declaration?

This is a self-declaration where the applicant confirms that they and their family members do not meet any of the 14 exclusion criteria. If any of these points are true for your household, you may be disqualified from the scheme. The 14 Exclusion Points include owning: Motorized 2/3/4 wheelers or fishing boats. Mechanized 3/4-wheeler agricultural equipment. A Kisan Credit Card with a limit over ₹50,000. A refrigerator or landline phone. More than 2.5 acres of irrigated land. Or having:

A household member who is a government employee or earns more than ₹10,000 per month. How to Download the Form You can download the official forms directly from the PMUY Download Portal Official Hindi PDF: PMUY Supplementary KYC

link for the standard 14-point template used by distributors. Offline Access:

You can also collect physical copies for free from your nearest distributor. Steps to Fill the Form Supplementary KYC.pdf - PMUY

Go to the official website – pmuy.gov.in (Pradhan Mantri Ujjwala Yojana).

To help you fill the form correctly, here is the English translation and explanation of each of the 14 points: